Wallace, Kaley C

Wallace, Kaley C is an individual health care provider with primary practice located at 1601 Sailmaker Way # B109 , Knoxville TN 37920-5467. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wallace, Kaley C can be contacted via phone (423) 335-1398.

Contact Information

Primary practice address
1601 Sailmaker Way # B109 Knoxville TN 37920-5467
Phone: (423) 335-1398
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0000006562 Tennessee
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6562 Tennessee

Profile Details

NPI number 1306495452
LBN Legal business name Wallace, Kaley C
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated Jun 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306495452 NPPES
Tennessee Other 0000006562 SPEECH LANGUAGE PATHOLOGIST

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